Scores on the SHIM improved significantly at 1 year after treatment of the thyroid dysfunction: Only 20 of the patients--7 with hyperthyroid and 13 hypothyroid--still had SHIM scores of 21 or less, and of those, only 7 had severe ED (SHIM less than 10), proportions similar to those among the controls.

When investigating the problem, Steve Shim, the department's director of technical services, found that some disruptions occurred because employees disconnected power to the equipment, while in other cases, telephone lines had been unplugged, interrupting service.

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